ABC | Volume 113, Nº1, July 2019

Original Article Rocha et al Dietary patterns and adiposity in children Arq Bras Cardiol. 2019; 113(1):52-59 1. Hassapidou M, Tzotzas T, Makri E, Pagkalos I, Kaklamanos I, Kapantais E, et al. Prevalence and geographic variation of abdominal obesity in 7- and 9-year-old children in Greece; World Health Organization Childhood Obesity Surveillance Initiative 2010. BMC Public Health. 2017;17(1):126. 2. World Health Organization (WHO). Report of The Commission on Ending ChildhoodObesity.Geneva:WHOLibraryCataloguing-in-PublicationData, 2016, p. 50. 3. Brasil. Instituto Brasileiro deGeografia e Estatística. Pesquisas de orçamentos familiares: antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil. Rio de Janeiro: 2010. 4. Oellingrath IM, SvendsenMV, Brantsæter AL. Eating patterns and overweight in 9- to 10-year-old children in Telemark County, Norway: a cross-sectional study. Eur J Clin Nutr. 2010;64(11):1272-9. 5. Lioret S, TouvierM, Lafay L, Volatier JL, Maire B. Dietary and physical activity patterns in French children are related to overweight and socioeconomic status. J Nutr.. 2008;138(1):101-7. 6. Ambrosini GL. Childhood dietary patterns and later obesity: a review of the evidence. Proc Nutr Soc. 2014;73(1):137-46. 7. Shang X, Li Y, Liu A, Zhang Q, Hu X, Du S, et al. Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children. PLoS One. 2012;7(8):e43183. 8. TorresStoneRA,WaringME,CutronaSL,KiefeCI,Allison J,DoubeniCA.The association of dietary quality with colorectal cancer among normal weight, overweight and obese men and women: a prospective longitudinal study in the USA. BMJ Open. 2017; 7 (6):e015619. 9. Livingstone KM, McNaughton SA. Dietary patterns by reduced rank regression are associatedwith obesity and hypertension in Australian adults. Br J Nutr. 2017; 117(2):248-59. 10. Ambrosini GL, Emmett PM, Northstone K, Howe LD, Tiling K, Jebb SA. Identification of a dietary pattern prospectively associated with increased adiposity during childhood and adolescence. Int J Obes. 2012;36(10):1299-305. 11. DishchekenianVRM, EscrivãoMAM, PalmaD, Ancona-Lopez F, Araujo EAC, Taddei JAAC. Dietary patterns of obese adolescents and different metabolic effects.. Rev Nut Campinas. 2011; 24(1):17-29. 12. Carvalho CA, Fonsêca PCA, Nobre LN, Priore SE, Franceschini SCC. Methods of a posteriori identification of food patterns in Brazilian children: a systematic review.. Ciên Saúde Colet. 2016;21(1):143-54. 13. Pereir SS, Alvarez-Leite JI. Low-grade inflammation, obesity, and diabetes. Curr Obes Rep. 2014; 3(4):422-31. 14. Ritchie B, O’hara L, Taylor J. In the kitchen’ impact evaluation: engaging primary school students in preparing fruit and vegetables for their own consumption. Health Promot J Austr. 2015;26(2):146-9. 15. Brazilian Institute of Geography and Statistics.IBGE Social indicators. An analysis of the results of the 2010 Population Census universe. Studies & Research: Demographic and socio-economic information; 2015. [citado 16 nov 2016]. Disponível em:: www.ibge.gov.br/cidadesat/topwindow.htm?1. 16. Magalhães EI, PessoaMC, Franceschini SD, Novaes JF. Dietary calcium intake is inversely associated with blood pressure in Brazilian children. Int J Food Sci Nutr. 2017;68(3):331-8. References adiposity in childhood. As the consumption of industrialized foods contributes to excess weight and body fat, this is an important step in assessing dietary patterns, since diet is a modifiable risk factor for cardiovascular disease. These findings are consistent with other studies, suggesting that the consumption of industrialized foods is increasing, and these are already associated with cardiometabolic alterations in the early stages of life, such as in childhood. Conclusion It was concluded that the prevalence of excess weight and body adiposity were higher in children with greater adherence to the industrialized DP. The lower consumption of the traditional DP was associated with excess body adiposity. Our study suggests that early assessments of eating habits should be undertaken for monitoring andmodifying these habits, when necessary. Parents and health professionals need to be aware of the high consumption of processed and ultra-processed products by children. Food and nutritional educational actions become of the utmost importance in schools as a way to reinforce the healthy diet of children and their parents. Author contributions Conception and design of the research and Obtaining financing: Novaes JF; Acquisition of data: Rocha N, Milagres LC, Filgueiras MS, Silva MA, Albuquerque FM; Analysis and interpretation of the data: Rocha N, Ribeiro AQ, Albuquerque FM, Novaes JF; Statistical analysis: Rocha N, Filgueiras MS; Critical revision of the manuscript for intellectual content: Milagres LC, Filgueiras MS, Suhett LG, Silva MA, Ribeiro AQ, Vieira SA, Novaes JF. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding This study was funded by CNPq. Study Association This article is part of the thesis of Doctoral submitted by Naruna Pereira Rocha, from Universidade Federal de Viçosa. Ethics approval and consent to participate This study was approved by the Ethics Committee of the Universidade Federal de Viçosa under the protocol number 663.171/2014. All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study. 58

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